Adoption Application/Personality Profile

Thank you for considering a rescue dog first! The following application is detailed and will take a few minutes to complete. Rest assured there is a reason behind this. The more information you provide, the better the chances of finding your PERFECT pooch match. We take the dog’s needs, preferences, and personality into consideration when reading through your completed application.

Our goal is to connect with each applicant within 48 - 72 hours.
We appreciate your patience during this process.

If you submit your application over the weekend, please allow an extra 1 - 2 days for a response. Please take your time in completing the application & Thank you!
APPLICANT INFORMATION
Were you referred to us by someone? If yes, please tell us by whom.
What Cupid(s) are you interested in?
If you do not have a Cupid in mind, how would you describe your perfect Canine Companion?
First Name *
Middle Initial *
Last Name *
Date of Birth *
Phone Number *

Area Code Phone Number
E-mail address *
Is there a co-applicant (i.e. spouse or adult family member in the household)? *

Yes No
If so, please provide their FIRST, MIDDLE, LAST NAME and DOB:
Maiden name(s), Alias(es), etc
How many adults in household? *
What do you do for a living? (Please include job title of co-applicant as well) *
How long at this occupation? (Please include time at job for co-applicant as well) *
Does anyone in home have animal allergies? *

Yes No
RESIDENCE INFORMATION

Home address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Do you rent or own? *

Rent Own
How long have you lived at this address? *
If you rent, provide landlord's full contact information:
If you rent, does your home have breed or size restrictions? *

Yes No I do not know Not Applicable
If you have lived in your current home for less than 6 months, please provide previous address and indicate renting or owned.
Are you planning on moving in the next year? *

Yes No
If yes, when?
Do you have a fenced-in yard? *

Yes No
Milwaukee has special ordinances for "Pitbull" mixes.

Visit: Chapter 78-22 Milwaukee for more information.
If yes, describe its material and height:
FAMILY INFORMATION
Do you have children living in the home? *

Yes No
If so, what are their ages?
If you have children, have they been around dogs before?
Do other children visit the home? *

Yes No
If children visit, how often?
Are you planning on having children in the near future? *
RESIDENT PETS & PET HISTORY
Do you currently have other pets? *

Yes No
Are all of your current pets spayed and/or neutered? *

Yes No Not Applicable
NOTE: All current pets over 6 months of age must be spayed/neutered to apply for a Cupid unless there is a valid medical reson.
If there is a medical reason why your pet is not spayed/neutered?
Are all of your current pets up to date on their vaccinations? *

Yes No Not Applicable
All current pets must be up-to-date on DHPP and Rabies vaccines to apply for a Cupid. Bordatella is an elective vaccine and while suggested, it is not a requirement.
If there is a medical reason why your pet is not up-to-date on vaccines?
How many cats/dogs do you currently own? *

1 2 3 4+ None
Please list all of your current pets. [ Include name, species, breed, age, sex, and length of time owned for each ]
Provide Clinic Name, Phone Number & Veterinarian for current pets.
** Please note that according to a recent law passed by the Wisconsin Veterinary Examining Board, Veterinary Clinics will begin asking for written consent by Owner to disclose animal medical records. In order for Canine Cupids to ensure the welfare of all of our adoptables, we will need to do a Vet Check prior to approving your application. Please ensure that you contact your Vet Clinic immediately after completing this application and provide the necessary consent for Canine Cupids to obtain up to date records of current resident animals from your Veterinarian *

I understand Not Applicable
If applicable, when you are not home, where are your pets

Crates Free to roam the home Other
In the last 3 years, have you had a pet pass away or have you surrendered a pet? If yes, please list:
Have you ever had to euthanize a pet? (Prior to the last 3 years) *

Yes No
If so, why?
FAMILY LIFESTYLE
In the last 6 months, have any of the following happened to you? *

I started a new job I lost or quit a job I got married I got engaged to be married I got divorced I moved to a new home, city, or state I adopted a pet I had to surrender or euthanize my pet I had a pet pass away I took a vacation I found out I or my partner was pregnant I or my family had a baby
Which best describes you and your lifestyle? *

Couch potato Active and on-the-go Party animal Relaxed and laid back
How active are you?

Infirm A little Moderately Very
Do you travel often? *

Yes No
If yes, do you have resources for pet care while you are gone?
CUPID QUESTIONNAIRE
What size would your perfect canine companion be? *

A. Pocket: Under 5 lbs/2.3 kg. B. Tiny: 5 to 12 lbs./2.3 to 5.4 kg. C. Miniature: 13 to 25 lbs/5.9 to 11.3 kg. D. Small: 26 to 39 lbs/11.8 to 17.7 kg. E. Medium: 40 to 59 lbs/18.1 to 26.8 kg. F. Large: 60 to 89 lbs/27.2 to 40.4 kg. G. Very large: 90 to 105 lbs/40.8 to 47.6 kg. H. Enormous: 105 lbs./47.6 kg. & up I. I am open to any size
Which best describes your perfect canine companion's coat and grooming needs? *

I want hairless! As bald as Bruce Willis. Short with no grooming needs. Medium with minimal grooming needs. Long, I love treating my canine companion to a spa day! I have no preference.
Do you have an age preference for your canine companion? *

Under 6 months 6 months to a year Older than a year I am wide open
What reason(s) are you wanting to adopt this dog? (check all that apply) *

A gift Therapy dog Competition dog Companionship for me Companionship for other dog Guard dog
What level of independence would you prefer in a canine companion? *

Don't leave me, don't leave me! (separation anxiety) What are you doing? Where are you going?(curious, but no anxiety) See you later, have a good day! (waves goodbye, comfortable home alone) You were gone? (never noticed your absence)
How energetic should your canine companion be? *

"You don't really expect me to fetch that ball, do you?" "Let's play catch--but don't make me run around too much!" "Ball! Ball! Can you please throw it again human?" "It's only been 3 hours! Let's go!!"
The lifespan of a dog can vary by a few years depending on the breed. The average lifespan of a canine is about 12 years. If you know that your situation is likely to change in a few years, you might opt for a shorter lifespan. That being said, would you be interested in a senior canine companion?? *

Yes No Maybe
Some canine companions have special needs. Would you consider a companion with these needs? [ ex: deaf or blind ] *

Yes No Maybe
Are you afraid of any types of dogs? *

Yes No
If so, what types and why?
What is the longest period of time you will leave your canine companion unattended outside? *

Never 0 to 15 minutes 15 to 30 minutes 30 to 45 minutes 45 to 60 minutes 1 hour +
How will you exercise your canine companion? (Select all that apply) *

Walks Jogging Dog Park Hiking I want a couch potato.
Where will your canine companion be kept at night? *
Where will your canine companion be kept when family members are not home? *
Someone will be home with our new canine companion... *

4 to 6 hours a day 6 to 8 hours a day 8 hours +
Have you ever sold, given away, or surrendered a pet? *

Yes No
If so, please explain why:
PET ORDINANCE AWARENESS & CITATION HISTORY
Are you aware some municipalities have breed specific laws and restrictions? *

Yes No
For a list of cities in Wisconsin with BSL visit: BSL in Wisconsin
Would adopting a dog violate any local law or ordinances? *

Yes No Not sure
Have you or any member of your household ever been cited for leash law violations, or cruelty to animals? *

Yes No
If so, please explain the situation:
Have any of your past pets ever been reported for biting a person or animal? *

Yes No
If yes, please explain the situation:
OBEDIENCE & BEHAVIORAL TRAINING
Can you describe your approach to obedience training? *
How would you react to a canine companion who was having trouble being housebroken and had potty accidents in the house? *
How would you react if you came home to find your favorite pair of shoes chewed up, or some other personal belonging destroyed? *
What is your opinion on chokers, prong collars and shock collars? *

I am 100% for them, it's the only way to keep a dog in line and train them I will use one if I have to, but would rather find other solutions I have never even considered one
Do you have experience with behavioral issues? (ex: resource guarding, fear of strangers, etc...) *

Yes No
If yes, please explain.
Do you plan on having your canine companion enrolled in obedience training? *

Yes No If needed
Are you familiar with crate training? *

Never done it. Somewhat experienced. Expert
Please add anything you would like us to know to help us find your perfect canine companion!
True or False
I am okay with my pets being on the furniture *

True False
I am okay with my pets sleeping in my bed *

True False
I go to off leash dog parks all the time *

True False
I get frustrated easily when a dog has difficulty learning/being trained *

True False
Animals are property *

True False
It is OK to hit an animal if it is bad *

True False
When a dog is destructive, it is because it is a bad dog *

True False
I want a canine companion to be my best friend and companion *

True False
I want a canine companion to protect my family/property *

True False
The only way to teach a dog is to punish it when it does something wrong *

True False
Canine Cupids, Inc. is dedicated to placing our Cupids in homes that are truly the best fit. We will review the information that you have provided above to ensure that we make the best decision for both the Applicant and the Cupid. We appreciate your patience while we review your application.
Liability Waiver: I, and those accompanying me, fully understand the risk during a visit to a foster home or other location. We do not hold Canine Cupids, or its representatives, liable for any injury, personal property damage, or other situation which may arise during the foster home or other location visit. I fully understand and accept the release of liability. I understand that the completion of this Personality Profile does not guarantee that I will be approved for the adoption of a pet through Canine Cupids, or any suggested canine companion outside our rescue.
I accept these waivers and terms *

True False
Should be Empty:

APPLICANT INFORMATION

RESIDENCE INFORMATION

FAMILY INFORMATION

RESIDENT PETS & PET HISTORY

FAMILY LIFESTYLE

CUPID QUESTIONNAIRE

PET ORDINANCE AWARENESS & CITATION HISTORY

OBEDIENCE & BEHAVIORAL TRAINING

True or False

Canine Cupids, Inc. is dedicated to placing our Cupids in homes that are truly the best fit. We will review the information that you have provided above to ensure that we make the best decision for both the Applicant and the Cupid. We appreciate your patience while we review your application.